Wk Signature Urology Clinic

LBN: Wk Signature Urology Clinic
Wk Signature Urology Clinic is an health care organization with primary practice located at 2551 Greenwood Rd Suite 140, Shreveport LA 71103-3981. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Wk Signature Urology Clinic can be contacted via phone (318) 212-8899, or through Gavin, Greg J. via phone (318) 212-4571.

Contact Information

Primary practice address
2551 Greenwood Rd Suite 140 Shreveport LA 71103-3981
Phone: (318) 212-8899
Fax: (318) 212-8806
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-4571

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1225093610
LBN Legal business name Wk Signature Urology Clinic
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Jun 8th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225093610 NPPES
Louisiana MEDICAID 1335223

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